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Deactivated NPI 1083706303 Deactivated / Inactive NPI Female Practitioner

Lisa Phillips

Occupational Therapy Assistant • Manitowoc, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lisa Phillips has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 28, 2006
NPI Deactivation Date June 12, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Lisa Phillips was a registered Occupational Therapy Assistant practicing in Manitowoc, WI. Throughout an active medical career spanning 19 years, Lisa Phillips provided care at the practice location at 3311 CALUMET AVE until profile deactivation on 2025-06-12.

Practice Location & Contact Primary Location

Practice Address

3311 Calumet Ave

Manitowoc, WI 542205425

Telephone 9206839710
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapy Assistant in Manitowoc, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.7 Yrs
Regional Practice Density
23 Specialists

Practicing in Manitowoc, WI (1481 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Occupational Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 224Z00000X

An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Bradley Harrigle

Physical Therapy Assistant

NPI 1760592505

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
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NPI Profile Deactivated June 12, 2025

Record deactivated on June 12, 2025

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Updated Business Mailing Address November 20, 2019

Registered at E 4078 CASCO WEST KEWAUNEE LINE LANE, KEWAUNEE, WI 54216 (Tel: 9203623776)

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Provider Name / Credentials Updated November 20, 2019

Recorded as LISA KINSTETTER, C.O.T.A.

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3311 CALUMET AVE, MANITOWOC, WI 542205425 (Tel: 9206839710)

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Updated Business Mailing Address July 08, 2007

Registered at 507 3RD ST, LUXEMBURG, WI 542171093 (Tel: 9208455649)

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Provider Name / Credentials Updated July 08, 2007

Recorded as LISA PHILLIPS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Occupational Therapy Assistant

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Initial NPI Registration & Enumeration September 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083706303
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 28, 2006
Last Update: July 08, 2007
Deactivation Date: June 12, 2025

Mailing Address

507 3rd St

Luxemburg, WI 542171093

Phone: 9208455649

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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